Dr. Tuff utilizes a variety of manual techniques and therapeutic modalities to accelerate recovery, restore function, and reduce risk of injury.



Chiropractors are primary healthcare practitioners specializing in the diagnosis and treatment of musculoskeletal conditions of the spine and extremities. Dr. Tuff incorporates chiropractic manipulations and mobilizations when appropriate in order to reduce joint-related pain and restore normal joint movement and range of motion.


For more information on chiropractic, please visit the Ontario Chiropractic Association website.

Contemporary Medical Acupuncture

Contemporary Medical Acupuncture is a nerve stimulation technique utilizing fine sterile needles (acupuncture needles) and electrical input to restore normal muscle activation, stimulate local tissue healing and blood perfusion, and reduce pain.


For more information, please visit the Contemporary Medical Acupuncture website.


Myofascial release therapy is a soft-tissue treatment technique targeting muscles and connective tissue (fascia, tendons, ligaments). The practitioner uses his/her hands to apply tension to the involved tissue while the patient is guided through specific movements. Myofascial release is utilized to address abnormal tension in muscles and fascia that may be contributing pain, restricted movement, diminished local tissue healing and blood perfusion, and irritation/entrapment of nerves.



Myofascial Release Therapy

Therapeutic Modalities

Therapeutic modalities are incorporated into the treatment plan when clinically appropriate. Modalities include Low Level Laser Therapy (LLLT), Interferential Current (IFC), Electrical Muscle Stimulation (EMS), Transcutaneous Electrical Nerve Stimulation (TENS), and Micocurrent. Cryotherapy (ice) and Heat therapy are also utilized when appropriate.



Exercise Rehabilitation

Exercise-based rehabilitation is utilized to return tissues to their pre-injury state, reduce the likelihood of future injury, and address faulty movement patterns. Programs are specifically tailored to each patient and may include strengthening, endurance exercises, mobility training, movement re-education, balance/proprioceptive training, and sport-specific exercises.



Athletic and functional tape are used as an adjunct to therapy to reduce pain perception, enhance positional awareness (proprioception), act as a postural reminder, and reduce swelling and bruising. Athletic tape is firm and inelastic and therefore better suited to restrict movement that may lead to injury or irriation of an underlying condition. Functional tape (e.g. Rocktape, Spidertech, Kin Tape) is elastic in nature and therfore does not restrict movement.

Orthotics and Supports

When indicated, Dr. Tuff may prescribe orthotics or recommend over-the-counter supports as an adjunct to addressing abnormal foot mechanics through rehabiitative exercise and manual therapy. Foot dysfunction may not only lead to local conditions (e.g. plantar fascitis, metatarsalgia, etc.) but may also result in lower leg, knee, hip, and low back pain.